How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $38.90 | Professional | None | $29.51 | $38.90 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $19.50 Typical High $19.50 | Professional | 52 · Reduced service | $14.79 | $19.50 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.89 Median $7.76 Typical High $7.76 | Professional | 53 · Discontinued | $5.89 | $7.76 | $7.76 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $22.39 Median $29.51 Typical High $29.51 | Professional | 54 · Surgery only | $22.39 | $29.51 | $29.51 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $4.47 Median $5.89 Typical High $5.89 | Professional | 55 · Aftercare only | $4.47 | $5.89 | $5.89 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $2.95 Median $3.89 Typical High $3.89 | Professional | 56 · Pre-op care only | $2.95 | $3.89 | $3.89 |
BCBS Rhode Island Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $102.33 | Facility | None | $64.57 | $87.10 | $102.33 |
BCBS Rhode Island Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $42.66 | Professional | None | $29.51 | $29.51 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
United Setting Professional Modifier None Typical Low $16.60 Median $21.88 Typical High $34.67 | Professional | None | $16.60 | $21.88 | $34.67 |
Where Rhode Island sits
The same service costs 2.7 times more in Hawaii than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Rhode Island· 12th of 51
$38.90
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.